Nokea
a nurse is working with a community health care team to devise strategies for preventing violence in the community. which of the following interventions is an example of tertiaryprevention?
- A. presenting community education programs about stress management
- B. developing resources for victims of abuse
- C. urging community leaders to make nonviolence a priority
- D. assessing for risk factors of intimate partner abuse during health examinations
Correct Answer: D
Rationale: The correct answer is D because assessing for risk factors of intimate partner abuse during health examinations falls under tertiary prevention, which aims to minimize the impact of a health condition or injury. By identifying risk factors, healthcare professionals can intervene to prevent further harm or escalation of abuse.
A: Presenting community education programs about stress management is an example of primary prevention, focusing on preventing the occurrence of violence.
B: Developing resources for victims of abuse is an example of secondary prevention, aiming to intervene and provide support after violence has occurred.
C: Urging community leaders to make nonviolence a priority is also an example of primary prevention, focusing on promoting non-violent behaviors in the community.
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A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include?
- A. You will be taking a once-weekly dose of disulfiram to help control withdrawal symptoms during treatment.
- B. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal.
- C. Attending Al-Anon meetings will help you identify a role model to assist you with making needed changes.
- D. You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.
Correct Answer: D
Rationale: The correct answer is D because learning functional skills to replace defense mechanisms and behaviors is crucial for long-term recovery from alcohol use disorder. By acquiring healthy coping mechanisms, the client can effectively manage triggers and stressors without resorting to alcohol. This promotes sustained sobriety and prevents relapse.
A is incorrect as disulfiram is not typically used for withdrawal symptoms but rather to deter alcohol consumption by causing unpleasant reactions.
B is incorrect as physical activity may be beneficial, but it does not directly address the underlying issues related to alcohol use disorder.
C is incorrect as Al-Anon meetings are for family and friends of individuals with alcohol use disorder, not for the individuals themselves to seek role models.
Therefore, D is the most appropriate statement as it focuses on building essential skills for long-term recovery.
A nurse working in an infectious disease clinic is caring for a client with a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the CDC?
- A. Office of the Surgeon General.
- B. State health department.
- C. Hospital infection control department.
- D. Local Red Cross chapter.
Correct Answer: B
Rationale: The correct answer is B: State health department. The state health department is responsible for voluntarily reporting cases of Lyme disease to the CDC as part of the national surveillance system for infectious diseases. State health departments collect and report data on various diseases to monitor trends, detect outbreaks, and implement public health interventions. The Office of the Surgeon General does not handle disease reporting, the Hospital infection control department focuses on preventing healthcare-associated infections within the hospital, and the Local Red Cross chapter is not involved in disease surveillance. Thus, the state health department is the appropriate agency for reporting cases of Lyme disease to the CDC.
a newly hired occupational health nurse is assessing hazards in the work environment. which of the following actions will help the nurse detect potential physical hazards?
- A. track rates of illness caused by infection among employees
- B. survey workers about job related emotional stress
- C. identify industrial toxins that are present in the environment
- D. measure noise levels at various locations in the facility
Correct Answer: A
Rationale: The correct answer is A because tracking rates of illness caused by infection among employees can help identify potential physical hazards such as poor hygiene practices or exposure to harmful substances. This data can lead to interventions to prevent future illnesses. Surveying workers about emotional stress (B) is related to mental health, not physical hazards. Identifying industrial toxins (C) is important but focuses on chemical hazards, not exclusively physical. Measuring noise levels (D) is crucial for assessing hearing-related hazards but is not the only physical hazard to consider.
a faith based organization asks a community health nurse to develop a mobile meal program for older................................... the following actions should the nurse plan to take
- A. first.
- B. determine potential funding sources for the program
- C. inquire about the availability of volunteers
- D. identify alternative solutions to address concerns
- E. perform a needs assessment
Correct Answer: C
Rationale: The correct answer is C: inquire about the availability of volunteers. This is the first step the nurse should take because volunteers are essential for the successful implementation of the mobile meal program. Without a sufficient number of volunteers, the program may not be sustainable. Additionally, volunteers can provide valuable support in meal preparation, delivery, and interacting with older adults.
Other choices are incorrect because:
A: Planning the program first without considering the availability of volunteers may lead to difficulties in execution.
B: Determining funding sources is important but should come after ensuring there are enough volunteers to support the program.
D: Identifying alternative solutions is premature without first establishing the foundation of volunteer support.
E: Performing a needs assessment is important but should come after securing volunteer assistance to ensure feasibility.
a community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. which of the following interventions should the nurse implement?
- A. provide coffee and snacks during the meetings
- B. avoid discussing the traumatic events experienced by the veterans
- C. change the meetings sites frequently
- D. teach the clients to practice deep breathing exercises
Correct Answer: C
Rationale: The correct answer is C: change the meeting sites frequently. This intervention is important for individuals with PTSD as it helps prevent triggers associated with specific locations, reducing anxiety and potential retraumatization. Providing coffee and snacks (A) may be helpful, but changing meeting sites is a more crucial step. Avoiding discussing traumatic events (B) may hinder the veterans' healing process by avoiding necessary therapeutic conversations. Teaching deep breathing exercises (D) can be beneficial but may not address the core issues related to PTSD.